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FOR OFFICE USE ONLY PERMIT 4 (709-04g <br /> BUILDING . PLANNING. . <br /> Bldg/TI/Addn/IRem Siz a(o(4) $t Zoning Classification r-- 14' <br /> Garage Size \\ Overlay/Agreement <br /> VALUATION i (IP 70 0 Nonresidential Use <br /> Number of Stories t Residential Use M (-2111 <br /> n <br /> Occupancy Group f'"a" Proposed No. of Dwelling Units: "-----7, <br /> Occupant Load 13 Total No. of Dwelling Units: <br /> Basement No)4 Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction- VB needed before final? Yes_ No 1------- <br /> Existing Sprinkler System? Yes_ No )S Unk_ Planning hfispector: <br /> Fire Sprinkler Required Yes_ No )4 Phone#: . <br /> Reason L-XkSTI&K3- Approved by: '47 Date: S/((�7/( <br /> Existing Fire Alarm Yes_ No )4 Unk_ Historic Approved by: Date: GGG <br /> _,„.s- <br /> Fire Alarm Required Yes No)6 School Mitigation Reqd? Yes No „•-~`""'– <br /> Reason 'I 51(Nls Everett School Dist Mukiltec Schon Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes X No_ #of Net New Units: .,,,---- <br /> Add'I RCW 64.55 docs required prior to final?Yes— No`4 Calculated 66l Impact Fee: <br /> Architectural Approved By/Date: MLi ( ,I –1/(7 ((7 ool Impact Fee Credit: <br /> Structural Approved By/Date: 7 6,y /( - Total School Impact Fee Owed: <br /> Comments: 5r0.0 , piL0(k:l ())1/1, of (ou e .- 1 Comments: <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES' .' INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit all A 4/Coy <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: i .,G9 Date:5 /8-/ 7 <br /> Water Fee PW Permit Approved-PW GO 110(0_O4( <br /> Sewer FeeLJ See PW Review Worksheet <br /> Systems Dev. Fee .PW Permit Not Required <br /> Traffic Mitigation Fee ,,,..,- <br /> Public <br /> .;uPublic Works Fee ...-, .:i FIRE:DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No_ Existing Bldg. <br /> Update/New Detection -Yes_ No_ Existing Bldg._ <br /> Update/New Chemical Yes_ No_ Existing Bldg._ <br /> Update/New Fire Service Yes_ No_ Existing Bldg. <br /> Approved by: Date: N. <br /> Comments: <br />